Ariz. Rev. Stat. § 20-1057.06. Prior authorization: Health Care Services Organizations – Arizona
Status: Enacted Year Enacted: 2000
A health care services organization shall not request information from a health care professional that does not apply to the medical condition at issue for the purposes of determining whether to approve or deny a prior authorization request.
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Ariz. Rev. Stat. § 20-1057.07. Health care services organizations; clinical trials; cancer; definitions: Health Care Services Organizations – Arizona
Status: Enacted Year Enacted: 2000
A health care services organization is not obligated to pay any costs, other than covered patient costs, that are directly associated with a cancer clinical trial that is offered in this state and in which the enrollee participates …
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Ariz. Rev. Stat. § 20-1057.09. Health care services organizations; varying copayments and deductibles allowed: Health Care Services Organizations – Arizona
Status: Enacted Year Enacted: 2005
A health care services organization may offer one or more health care plans that contain a choice of deductibles, coinsurance, copayments, out-of-pocket and any other cost sharing levels. Plans offered under this section shall clearly disclose in marketing materials, certificates …
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Ariz. Rev. Stat. § 20-1057.13. Telemedicine; coverage of health care services; definitions: Health Care Services Organizations – Arizona
Status: Enacted Year Enacted: 2013
An evidence of coverage issued, delivered or renewed by a health care services organization on or after January 1, 2018 must provide coverage for health care services that are provided through telemedicine if the health …
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Ariz. Rev. Stat. § 20-1057.14. Cancer treatment medications; cost sharing; definition: Health Care Services Organizations – Arizona
Status: Enacted Year Enacted: 2014
An evidence of coverage that is issued, delivered or renewed by a health care services organization on or after January 1, 2016 and that provides coverage both for cancer treatment medications that are injected or …
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Ariz. Rev. Stat. § 20-1057.17. Coverage of health care services: Health Care Services Organizations – Arizona
Status: Enacted Year Enacted: 2016
Any evidence of coverage issued, delivered or renewed on or after July 1, 2017 by a health care services organization in this state must provide coverage for lawful health care services that are provided by …
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Ariz. Rev. Stat. § 20-1061. Prohibited Practices; Definition: Health Care Service Organizations – Arizona
Status: Enacted Year Enacted: 1973
Chapter 2, article 6 of this title relating to unfair trade practices and frauds applies to health care services organizations, except to the extent the director determines that the nature of health care services organizations …
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Ariz. Rev. Stat. § 20-1069.01. Right to open enrollment period; enrollees; definitions: Health Care Services Organizations – Arizona
Status: Enacted Year Enacted: 2000
Managed Care Accountability Act: Statute makes numerous changes to statutes governing managed health care plans relating to health care services oversight, the medical decision making process, medical directors, standing referrals, the expedited review process, prescription …
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Ariz. Rev. Stat. § 20-1070. Acquisitions and Mergers: Health Care Service Organizations – Arizona
Status: Enacted Year Enacted: 1986
No health care services organization may merge with another foreign or domestic health care services organization or may be acquired by a person except on approval by the director and by complying with the provisions …
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Ariz. Rev. Stat. § 20-1070. Acquisitions and Mergers: Health Care Service Organizations – Arizona
Status: Enacted Year Enacted: 1986
No health care services organization may merge with another foreign or domestic health care services organization or may be acquired by a person except on approval by the director and by complying with the provisions …
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Ariz. Rev. Stat. § 20-1072. Nonliability of enrollees for provider or hospital charges; penalty: Health Care Services Organizations – Arizona
Status: Enacted Year Enacted: 2000
Managed Care Accountability Act: Statute makes numerous changes to statutes governing managed health care plans relating to health care services oversight, the medical decision making process, medical directors, standing referrals, the expedited review process, prescription …
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Ariz. Rev. Stat. § 20-1074. Contract termination; duty to report; provision for continued services during insolvency; definitions: Health Care Services Organizations – Arizona
Status: Enacted Year Enacted: 2000
Managed Care Accountability Act: Statute makes numerous changes to statutes governing managed health care plans relating to health care services oversight, the medical decision making process, medical directors, standing referrals, the expedited review process, prescription …
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Ariz. Rev. Stat. § 20-1075. Transactions With Affiliates: Health Care Service Organizations – Arizona
Status: Enacted Year Enacted: 1990
A health care services organization shall not attempt to sell or otherwise transfer to an affiliate Arizona assets in excess of ten per cent of the organization’s unimpaired capital or surplus as reported in its …
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Ariz. Rev. Stat. § 20-1119. Construction of policies; translation; disclaimer: The Insurance Contract — In General – Arizona
Status: Enacted Year Enacted: 1954
Every insurance contract shall be construed according to the entirety of its terms and conditions as set forth in the policy and as amplified, extended or modified by any rider, endorsement or application attached to …
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Ariz. Rev. Stat. § 20-1126. Health care insurers; pharmacy benefits managers; cost sharing; calculation; definitions: The Insurance Contract – Arizona
Status: Enacted Year Enacted: 2019
When calculating an enrollee’s contribution to any out-of-pocket maximum, deductible, copayment, coinsurance or other applicable cost sharing requirement, the health insurer that provides pharmacy benefits or a pharmacy benefits manager that administers pharmacy benefits for …
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Ariz. Rev. Stat. § 20-1137. Limited benefit coverage; prohibited practice; definition: The Insurance Contract — In General – Arizona
Status: Enacted Year Enacted: 1996
Bundling or combining various limited benefit insurance policies and advertising or indicating in any manner that these policies are major medical expense coverage policies or could be substituted for major medical expense coverage is a …
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